一月名胎胚，足厥阴肝管胎，此经少气多血。
二月足少阳胆管胎，若始膏，此经气多血少。
三月名始胎，手少阴心管胎，此经少血多气。
归身 茯神 黄芩（时寒少用） 壳砂（时寒多用） 杜仲 枣仁 白术 肉桂
形体成，四个月，命门相火管胎（手少阳三焦），去枣仁、茯神，加熟地三钱。始受水精以行血脉，
此经气多血少。
能动，五个月，太阴脾经管胎，去肉桂，加白术二钱。始受火精以成其气，此经少血多气。
筋骨立，六个月，阳明胃经管胎，加人参五分。如肺虚，加数倍可也，始受金精以成其筋，此经气盛
血少。
毛发生，七个月，太阴肺经管胎，减砂仁至三分，加黄芩至二钱。始受木精，以成其骨，此经少血多气。
脏腑具，八个月，阳明大肠管胎，加人参钱半。始受土精以成肤，此经气盛血多。
谷气入胃，九个月，少阴肾经管胎，原方不用，用宽胎散，始受石精以成毛发，此经少血多气。
归身 益母草 川芎 枳壳 杜仲
诸神备，十个月，太阳膀胱管胎，同前九个月方。临盆用催生散。脏腑、关节、人神具备，此经少
气多血。
当归 枳壳 香附 益母草 川芎 陈皮 红花 白芷
奇方。产后一二日间，痢疾并心痛。
赤芍 山楂 归尾 牛膝 陈皮 肉桂 刘寄奴 姜炭 川芎 香附 桃仁（去衣，各一钱）
日一剂，如有乳毒加白芷。
产后五六日，发热，不思饮食，有似伤寒等症。
赤芍 桃仁 归尾 陈皮 甘草 山楂肉 枳壳 香附 玄胡 干姜 肉桂 加白芷
末药方∶
刘奇奴 山楂 香附 棉花子 乌豆
俱炒为末（香附易玄胡，加荆芥尤妙），砂仁汤送二钱。
四物汤加减法（古方）∶
四物芎归芍地黄，女科诸病是良方。
调理养血医虚损，胎产无如用此汤。
参术苓甘名八物，气虚血弱功最捷。
十全加了桂黄 ，大补真元与精血。
若对参苏号补心，心虚血少梦中惊。
产后感寒能服此，不须加减效如神。
下午发热本阴虚，方加知柏可痊除。
骨蒸劳热紫 鳖，知柏能兼地骨皮。
妇人经水适然来，似疟汤中加小柴。
妊娠月水时时下，胶艾加之止漏胎。
经水过期阴血少，本方加桔与参 。
腹内积气当为痛，香附莪棱服自行。
月经紫色及先期，方入芩连并牡皮。
小腹瘀经兜涩痛，桃红乌附莫教迟。
瘦妇血枯经涩闭，本方增入桃仁治。
肥人色淡属于痰，配合二陈成一剂。
经血行来太去多，芩连柴柏可同科。
更加荆芥与羌活，升提其气要安和。
方加芩术善安胎，胎痛砂苏郁便用。
腹大异常成水病，心胸气逆如鼓硬，
鲤鱼汤煎苓术芩，减地芎加姜桔应。
胎气不安胸隔胀，枳桔加之即宣畅。
孕妇心烦号子烦，芩麦茯苓为根据傍。
芎归二味佛手名，坐草忙煎可保生。
若是难产生不下，草霜白芷一同行。
焦姜能治产后热，甘草大芎补阴血。
汗多方内减川芎，急服参 防气脱。
产后血迷成血晕，恶露去多精神困，
泽兰芎归荆参草，散号清魂能定晕。
黑神减芎入桂姜，炙甘黑豆炒蒲黄。
净露下胸除腹满，酒便调服效非常，
产后恶露如何少，若无别症精神好。
蓦然寒热腹中疼，还是黑神真个妙。
产后惊风血不来，肚疼发热胀难挨，
柴胡佛手灵脂泽，羌活红花仔细排。
产后须当四物汤，但凡初产配焦姜。
产初用芍伤生气，腻膈尤嫌熟地黄。
肠滑地归当应忌，汗多须把川芎去。
血虚腹痛赤芍良，加减四物先贤秘。
十全济阴丸 归身（酒洗） 熟地 香附（酒煮四两） 山药 白术（二两五钱） 杞子
人参（二两） 蕲艾叶（二两去筋梗，同香附，酒醋煮一时，捣，焙） 川芎 白芍 丹皮
紫石英（火 碎各一两五钱） 泽兰（一两） 紫河车（一具用银针刺，去紫筋，酒洗净白）
上药切片，同河车入沙锅内，用陈老酒三碗、陈米醋一碗、清白童便一碗、米泔水数碗，和匀，
浮药寸许，密盖不透，桑木火慢煮，以河车融化汁干为度，取出同捣极烂，捏作饼，日晒夜露三昼
夜，宜在月满之时以受日精月华。仍焙干，为末，捣烂，蜜丸如梧子，每服五十丸，空腹淡盐汤
下，随用早饭，使药下行，忌食生萝卜。
凡月经过期，或少或不行，皆血寒血少也。尺脉必微弱，加桂心五钱（夏三钱），黄 一两
（炙）。先期，血热也。脉来必数，加条芩二两（酒炒）、生地一两五钱（酒炒）。腹痛加芍药一
两（酒炒）。将行而先作痛者，血实而气滞也；成块者，气凝也。脉来弦数滑大，加延胡一两（酒
炒），陈皮八分，木香、柴胡梢五钱。行后作痛者，气血俱虚也，尺脉必虚涩而兼紧，加黑姜三
钱，白茯苓一两，桂心五钱（夏三钱）。三五日后，腹中绵绵作痛者，或淋沥不止，血因气滞未尽也。
尺脉见沉涩，或沉弦，加木香五钱，柴胡六钱。紫色或黑色，血热之甚也。尺脉见洪数，加条芩、
黄柏各一两，炒生地一两五钱（洒浸）。过期色淡，肥人则有湿痰，加茯苓、苍术（米泔、淡盐水炒）、
陈皮各一两，白术五钱，减熟地一两，瘦人则血虚少而水混之，加桂心五钱。或来或断，或发寒热者，
加柴胡八钱，白茯苓一两。凡经不调、多白带者，肥人主胃中湿痰流注，加制苍术、白茯苓一两五钱，
减熟地一两；凡瘦人气多血少，脾虚，加木香五钱，牡蛎（ ）、赤石脂（ ）、白茯苓各一两。
凡多崩漏者，减香附、艾叶各一两，加荆芥穗（炒）一两，黄芩一两五钱。
血崩者，或多，加阿胶一两，黑姜五钱，黄 一两（炙）。
元气虚弱、经水闭者，加牛膝二两。属寒加桂心五钱，
属热加黄芩一两（酒炒）。
凡婢外家多忌于嫡者，必多抑郁，以致经水不调者，加法制香附二两，或血弱心虚，交感时惊
恐不宁，则精气不聚，加琥珀（另研）、枣仁（隔砂略炒）、茯神各一两，辰砂（飞）、紫石英各
五钱。此方十年不育者，皆主之。
调经方临期服三帖∶乌附芍芎归，桃仁索桂茴。
当归（三钱） 抚芎 红花（酒炒） 小茴 香附（酒洗，炒） 赤芍（各一钱） 乌药（一钱）
延胡（二钱醋炒） 桃仁（去皮尖四钱） 赤桂（五分酒炒） 姜（三片） 灯心（十根）
经前服。
经期后方∶四物杜续苓斛砂姜
当归（一钱） 熟地（一钱） 芍药（二钱酒炒） 杜仲（二钱） 茯苓（一钱） 石斛（一钱）
川芎（一钱） 川断（一钱五分） 砂仁（五分） 煨姜（一大片） 枣（三枚）
半饥饱服。
丸药方∶地归杜续苓斛故菟车蓉
熟地 当归 杜仲 川断 故纸 菟丝（各四两） 肉苁蓉（二两） 茯苓（二两） 石斛（三两）
河车（一具）
第一个月称为胎胚，由足厥阴肝经主管胎儿发育，此经脉特点是气少血多。
第二个月足少阳胆经主管胎儿发育，此时胎儿初具膏脂状，此经脉特点是气多血少。
第三个月称为始胎，由手少阴心经主管胎儿发育，此经脉特点是血少气多。
方药组成：当归身、茯神、黄芩（天气寒冷时用量要少）、砂仁壳（天气寒冷时用量要多）、杜仲、酸枣仁、白术、肉桂。
第四个月胎儿形体形成，由命门相火（手少阳三焦经）主管胎儿发育，去掉酸枣仁和茯神，加入熟地黄三钱。此时胎儿开始接受水之精气以运行血脉，此经脉特点是气多血少。
第五个月胎儿开始能动，由足太阴脾经主管胎儿发育，去掉肉桂，加入白术二钱。此时胎儿开始接受火之精气以生成其气，此经脉特点是血少气多。
第六个月胎儿筋骨确立，由足阳明胃经主管胎儿发育，加入人参五分。如果肺气虚弱，可以加倍使用，此时胎儿开始接受金之精气以形成其筋，此经脉特点是气盛血少。
第七个月胎儿毛发生长，由手太阴肺经主管胎儿发育，将砂仁减至三分，加入黄芩至二钱。此时胎儿开始接受木之精气以形成其骨，此经脉特点是血少气多。
第八个月胎儿脏腑具备，由手阳明大肠经主管胎儿发育，加入人参一钱半。此时胎儿开始接受土之精气以形成其皮肤，此经脉特点是气盛血多。
第九个月饮食谷气入胃，由足少阴肾经主管胎儿发育，原方不再使用，改用宽胎散，此时胎儿开始接受石之精气以形成其毛发，此经脉特点是血少气多。
方药组成：当归身、益母草、川芎、枳壳、杜仲。
第十个月诸神完备，由足太阳膀胱经主管胎儿发育，同前九个月的方剂。临产时使用催生散。此时胎儿的脏腑、关节、人神均已具备，此经脉特点是气少血多。
方药组成：当归、枳壳、香附、益母草、川芎、陈皮、红花、白芷。
奇方。适用于产后一二日间出现痢疾并伴有心痛症状。
方药组成：赤芍、山楂、当归尾、牛膝、陈皮、肉桂、刘寄奴、姜炭、川芎、香附、桃仁（去皮衣，各一钱）。
每日一剂，如果有乳毒（乳房毒肿），加白芷。
产后五六日，出现发热，不想吃东西，症状类似伤寒等症。
方药组成：赤芍、桃仁、当归尾、陈皮、甘草、山楂肉、枳壳、香附、玄胡索、干姜、肉桂，加白芷。
末药方：
刘寄奴、山楂、香附、棉花子、乌豆。
全部炒制后研为细末（用香附替代玄胡索，加入荆芥效果更佳），用砂仁汤送服二钱。
四物汤加减法（古方）：
四物汤由川芎、当归、芍药、地黄组成，是治疗妇科各种疾病的良方。
用于调理养血和治疗虚损，在胎产方面没有比这方更好的了。
加入人参、白术、茯苓、甘草称为八物汤，对于气虚血弱的功效最迅速。
十全大补汤加入了肉桂和黄耆，能大补真元与精血。
如果与人参、苏叶合用称为补心汤，适用于心虚血少导致的梦中惊悸。
产后感受寒邪能服用此方，不需要加减，效果如神。
下午发热属于阴虚，方中加入知母、黄柏可以痊愈。
骨蒸劳热（阴虚潮热）配合紫石英、鳖甲，知母、黄柏还能兼用地骨皮。
妇人月经突然来潮，似疟疾者，在和解汤中加入小柴胡汤。
妊娠期间月经不时下漏，加入阿胶、艾叶可止住漏胎。
月经过期且阴血少，本方加入桔梗与人参。
腹内积气导致疼痛，服用香附、莪术、棱花可自行消散。
月经颜色紫色且提前来潮，方中加入黄芩、黄连及牡蛎皮。
小腹瘀血经血涩滞疼痛，不要迟疑，使用桃仁、红花、乌药、附子。
瘦弱妇女血枯导致经血涩闭，本方增加桃仁治疗。
肥胖妇女经色淡属于痰湿，配合二陈汤成为一剂。
经血行来太多，黄芩、黄连、柴胡、黄柏可以同用。
再加荆芥与羌活，升提其气以达到安和。
方中加入黄芩、白术善于安胎，胎痛使用砂仁、紫苏、郁金即可。
腹部异常增大形成水病，心胸气逆像鼓一样硬，
用鲤鱼汤煎煮茯苓、白术、黄芩，减去地黄、川芎，加入生姜、桔梗应对。
胎气不安导致胸膈胀满，加入枳壳、桔梗即可宣畅。
孕妇心烦称为子烦，以黄芩、麦冬、茯苓为依据傍依。
川芎、当归两味药名为佛手散，临产忙煎可保平安生产。
如果是难产生不下来，配合血余炭、白芷一同使用。
焦姜能治疗产后发热，甘草和大剂量川芎补益阴血。
汗多者在方中减少川芎用量，急服人参防止气脱。
产后血迷形成血晕，恶露去多导致精神困倦，
泽兰、川芎、当归、荆芥、人参、甘草，散剂名为清魂散能定晕。
黑神散减去川芎加入肉桂、干姜，炙甘草、黑豆、炒蒲黄。
净露下（指恶露排净）后消除胸腹满闷，酒调服效果非常，
产后恶露如何会少，如果没有其他症状精神好。
突然寒热腹痛，还是黑神散真正奇妙。
产后惊风因血不来，肚疼发热胀难忍受，
柴胡、佛手散、五灵脂、泽兰，羌活、红花仔细排列。
产后应当用四物汤，但凡初产妇配伍焦姜。
产后初期使用芍药会损伤生气，腻膈尤其嫌弃熟地黄。
肠滑者地黄、当归应当禁忌，汗多必须去掉川芎。
血虚腹痛赤芍良好，加减四物汤是先贤秘法。
十全济阴丸：当归身（酒洗）、熟地黄、香附（酒煮四两）、山药、白术（二两五钱）、枸杞子、人参（二两）、蕲艾叶（二两去筋梗，同香附，用酒醋煮一时辰，捣碎，焙干）、川芎、白芍、丹皮、紫石英（火煅碎，各一两五钱）、泽兰（一两）、紫河车（一具用银针刺，去紫筋，酒洗净白色部分）。
上述药材切片，同河车放入沙锅内，用陈年老酒三碗、陈米醋一碗、清白童便一碗、米泔水数碗，混合均匀，药物浮起寸许，严密盖好不漏气，用桑木火慢煮，直到河车融化汁液变干为止，取出同捣极烂，捏成饼状，日晒夜露三个昼夜，宜在满月之时以吸收日精月华。再焙干，研为细末，捣烂，蜂蜜制成梧桐子大小的丸药，每次服用五十丸，空腹用淡盐汤送下，随后吃早饭，使药力下行，忌食生萝卜。
凡是月经过期，或者量少或不行，都是血寒血少所致。尺脉必定微弱，加入桂心五钱（夏季三钱），黄耆一两（炙）。提前来潮，是血热。脉象必定数，加入条芩二两（酒炒）、生地一两五钱（酒炒）。腹痛加入芍药一两（酒炒）。将要来潮前先作痛的，是血实而气滞；有血块的，是气凝。脉象弦数滑大，加入延胡索一两（酒炒），陈皮八分，木香、柴胡梢五钱。行经后作痛的，是气血俱虚，尺脉必虚涩而兼紧，加入黑姜三钱，白茯苓一两，桂心五钱（夏季三钱）。三五日后，腹中绵绵作痛，或淋沥不止，是血因气滞未尽。尺脉见沉涩，或沉弦，加入木香五钱，柴胡六钱。颜色紫色或黑色，是血热之甚。尺脉见洪数，加入条芩、黄柏各一两，炒生地一两五钱（酒浸）。过期颜色淡，肥胖的人则有湿痰，加入茯苓、苍术（米泔水、淡盐水炒）、陈皮各一两，白术五钱，减去熟地一两，瘦人则是血虚少而水混之，加入桂心五钱。或来或断，或发寒热的，加入柴胡八钱，白茯苓一两。凡是月经不调、白带多的，肥胖人主要因胃中湿痰流注，加入制苍术、白茯苓一两五钱，减去熟地一两；凡是瘦人气多血少，脾虚，加入木香五钱，牡蛎（煅）、赤石脂（煅）、白茯苓各一两。
凡是崩漏多的，减去香附、艾叶各一两，加入荆芥穗（炒）一两，黄芩一两五钱。
血崩者，量多，加入阿胶一两，黑姜五钱，黄耆一两（炙）。
元气虚弱、经水闭止的，加入牛膝二两。属寒加桂心五钱，
属热加黄芩一两（酒炒）。
凡是婢女外家多忌讳嫡妻者，必定多有抑郁，以致月经不调的，加入法制香附二两，或者血弱心虚，交感时惊恐不宁，则精气不聚，加入琥珀（另研）、枣仁（隔砂略炒）、茯神各一两，辰砂（飞）、紫石英各五钱。此方主治十年不育者。
调经方临期服三帖：乌药、附子、芍药、川芎、当归，桃仁、索草（甘草？原文疑误，结合上下文推测可能指某种草药或笔误，此处保留原文“索”字或理解为甘草之误，但按规则不推测，故译为索/甘草存疑，暂译索）、桂枝、小茴。
当归（三钱）、抚芎、红花（酒炒）、小茴香、香附（酒洗，炒）、赤芍（各一钱）、乌药（一钱）、延胡索（二钱醋炒）、桃仁（去皮尖四钱）、赤桂（五分酒炒）、姜（三片）、灯心（十根）。
经前服用。
经期后方：四物汤加杜仲、续断、茯苓、石斛、砂仁、姜。
当归（一钱）、熟地黄（一钱）、芍药（二钱酒炒）、杜仲（二钱）、茯苓（一钱）、石斛（一钱）、川芎（一钱）、川断（一钱五分）、砂仁（五分）、煨姜（一大片）、枣（三枚）。
半饥饱时服用。
丸药方：地黄、当归、杜仲、续断、茯苓、石斛、故纸（补骨脂）、菟丝子、河车、肉苁蓉。
熟地黄、当归、杜仲、川断、故纸、菟丝子（各四两）、肉苁蓉（二两）、茯苓（二两）、石斛（三两）、河车（一具）。
The first month is called the embryo (Taipei), governed by the Foot Jueyin Liver Meridian (Zu Jueyin Gan Jing). This meridian has little Qi and abundant Blood.
The second month, the Foot Shaoyang Gallbladder Meridian (Zu Shaoyang Dan Jing) governs the fetus; at this stage, it resembles initial paste (Shi Gao). This meridian has abundant Qi and little Blood.
The third month is called the beginning of the fetus (Shi Tai), governed by the Hand Shaoyin Heart Meridian (Shou Shaoyin Xin Jing). This meridian has little Blood and abundant Qi.
Prescription: Dang Gui Shen (Angelicae Sinensis Radix), Fu Shen (Poria with Hostwood), Huang Qin (Scutellariae Radix) (use less when cold), Qiao Sha (Amomi Fructus Shell) (use more when cold), Du Zhong (Eucommiae Cortex), Zao Ren (Ziziphi Spinosae Semen), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Rou Gui (Cinnamomi Cortex).
In the fourth month, the fetal form takes shape, governed by the Mingmen Ministerial Fire (Hand Shaoyang Sanjiao Meridian). Remove Zao Ren and Fu Shen, add Shu Di Huang (Rehmanniae Radix Praeparata) 3 qian. The fetus begins to receive the essence of Water to circulate blood vessels. This meridian has abundant Qi and little Blood.
In the fifth month, the fetus becomes active, governed by the Foot Taiyin Spleen Meridian (Zu Taiyin Pi Jing). Remove Rou Gui, add Bai Zhu 2 qian. The fetus begins to receive the essence of Fire to form its Qi. This meridian has little Blood and abundant Qi.
In the sixth month, sinews and bones are established, governed by the Foot Yangming Stomach Meridian (Zu Yangming Wei Jing). Add Ren Shen (Ginseng Radix) 5 fen. If Lung Qi is deficient, increase the dosage several times. The fetus begins to receive the essence of Metal to form its sinews. This meridian has abundant Qi and little Blood.
In the seventh month, hair grows, governed by the Hand Taiyin Lung Meridian (Shou Taiyin Fei Jing). Reduce Sha Ren (Amomi Fructus) to 3 fen, add Huang Qin to 2 qian. The fetus begins to receive the essence of Wood to form its bones. This meridian has little Blood and abundant Qi.
In the eighth month, internal organs are complete, governed by the Hand Yangming Large Intestine Meridian (Shou Yangming Da Chang Jing). Add Ren Shen 1.5 qian. The fetus begins to receive the essence of Earth to form its skin. This meridian has abundant Qi and abundant Blood.
In the ninth month, grain Qi enters the stomach, governed by the Foot Shaoyin Kidney Meridian (Zu Shaoyin Shen Jing). Do not use the original prescription; instead, use Kuan Tai San (Womb-Widening Powder). The fetus begins to receive the essence of Stone to form its hair. This meridian has little Blood and abundant Qi.
Prescription: Dang Gui Shen, Yi Mu Cao (Leonuri Herba), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zhi Ke (Aurantii Fructus), Du Zhong.
In the tenth month, all spirits are complete, governed by the Foot Taiyang Bladder Meridian (Zu Taiyang Pang Guang Jing), using the same formula as the ninth month. Use Cui Sheng San (Labor-Delivering Powder) at delivery. At this stage, internal organs, joints, and human spirits are all present. This meridian has little Qi and abundant Blood.
Prescription: Dang Gui, Zhi Ke, Xiang Fu (Cyperi Rhizoma), Yi Mu Cao, Chuan Xiong, Chen Pi (Citri Reticulatae Pericarpium), Hong Hua (Carthami Flos), Bai Zhi (Angelicae Dahuricae Radix).
Extraordinary Formula. For dysentery accompanied by heart pain occurring one or two days postpartum.
Prescription: Chi Shao (Paeoniae Radix Rubra), Shan Zha (Crataegi Fructus), Dang Gui Wei (Angelicae Sinensis Radix Tail), Niu Xi (Achyranthis Bidentatae Radix), Chen Pi, Rou Gui, Liu Ji Nu (Artemisiae Abrotani Herba), Jiang Tan (Zingiberis Rhizoma Carbonisatum), Chuan Xiong, Xiang Fu, Tao Ren (Persicae Semen) (remove skin, each 1 qian).
One dose per day. If there is breast toxin (Ru Du), add Bai Zhi.
For fever and loss of appetite five to six days postpartum, resembling symptoms of Shang Han (Cold Damage).
Prescription: Chi Shao, Tao Ren, Dang Gui Wei, Chen Pi, Gan Cao (Glycyrrhizae Radix et Rhizoma), Shan Zha Rou (Crataegi Fructus Flesh), Zhi Ke, Xiang Fu, Xuan Hu (Corydalis Rhizoma), Gan Jiang (Zingiberis Rhizoma), Rou Gui, add Bai Zhi.
Powder Formula:
Liu Ji Nu, Shan Zha, Xiang Fu, Mian Hua Zi (Gossypii Semen), Wu Dou (Sojae Semen Nigrum).
All stir-fried and ground into powder (replace Xuan Hu with Xiang Fu; adding Jing Jie is excellent). Take 2 qian delivered with Sha Ren decoction.
Modifications of Si Wu Tang (Ancient Formula):
Si Wu Tang consists of Chuan Xiong, Dang Gui, Shao Yao, and Di Huang; it is a good prescription for various gynecological diseases.
It regulates and nourishes Blood and treats deficiency damage; for pregnancy and childbirth, no formula surpasses this one.
Adding Ren Shen, Bai Zhu, Fu Ling, and Gan Cao makes Ba Wu Tang, which is most effective for Qi deficiency and Blood weakness.
Shi Quan Da Bu Tang adds Gui Zhi (Cinnamomi Ramulus) and Huang Qi (Astragali Radix), greatly tonifying True Yuan and Essence-Blood.
If combined with Ren Shen and Su Ye, it is called Bu Xin Tang, suitable for heart deficiency and Blood scarcity causing dreams and palpitations.
Postpartum patients who catch cold can take this formula without modifications; its effect is miraculous.
Afternoon fever indicates Yin deficiency; add Zhi Mu (Anemarrhenae Rhizoma) and Huang Bo (Phellodendri Cortex) to cure.
Bone-steaming consumption heat pairs with Zi Shi Ying (Fluoriti Spatulae) and Bie Jia (Trionycis Carapax); Zhi Mu and Huang Bo can also include Gu Pi (Borricis Cortex).
When a woman's menstruation arrives suddenly like malaria, add Xiao Chai Hu Tang (Minor Bupleurum Decoction) to the harmonizing soup.
If menstrual flow occurs intermittently during pregnancy, add E Jiao (Colla Corii Asini) and Ai Ye (Artemisiae Argyi Folium) to stop leaking fetus.
If menstruation is overdue due to scanty Yin Blood, add Jie Geng (Platycodonis Radix) and Ren Shen to the base formula.
If abdominal distension causes pain due to accumulated Qi, taking Xiang Fu and E Zhu (Curcumae Rhizoma) will resolve it naturally.
If menstrual blood is purple and arrives early, add Huang Qin, Lian Xin (Coptidis Rhizoma), and Mu Li (Ostreae Concha) to the formula.
If lower abdominal stasis causes painful stagnation, do not delay using Tao Ren, Hong Hua, Wu Yao (Linderae Radix), and Fu Zi (Aconiti Lateralis Radix Praeparata).
For thin women with Blood dryness and amenorrhea, add Tao Ren to the base formula.
For obese women with pale blood indicating Phlegm, combine with Er Chen Tang (Two-Cured Decoction).
If menstrual flow is excessive, Huang Qin, Huang Lian (Coptidis Rhizoma), Chai Hu (Bupleuri Radix), and Huang Bo can be used together.
Add Jing Jie (Schizonepetae Herba) and Qiang Huo (Notopterygii Rhizoma et Radix) to raise and harmonize Qi.
Adding Huang Qin and Bai Zhu to the formula aids in calming the fetus; for fetal pain, use Sha Ren, Zi Su (Perillae Folium), and Yu Jin (Curcumae Longae Rhizoma).
If the abdomen abnormally enlarges forming edema, and chest/heart Qi rebels feeling hard like a drum,
Decoct Li Yu Tang (Carp Decoction) with Fu Ling, Bai Zhu, and Huang Qin; reduce Di Huang and Chuan Xiong, add Sheng Jiang (Zingiberis Rhizoma Recens) and Jie Geng.
If fetal Qi is unsettled causing chest oppression, add Zhi Ke and Jie Geng to promote free flow.
If a pregnant woman has vexation, it is called Zi Fan (Fetal Vexation); rely on Huang Qin, Mai Dong (Ophiopogonis Tuber), and Fu Ling.
Chuan Xiong and Dang Gui together are named Fo Shou San (Buddha's Hand Powder); brewing urgently at labor ensures safe delivery.
If difficult labor prevents birth, combine with Xue Yu Tan (Huminis Capitis Carbonisatum) and Bai Zhi.
Jiao Jiang (Carbonized Ginger) treats postpartum heat; Gan Cao and large doses of Chuan Xiong tonify Yin Blood.
If sweating is profuse, reduce Chuan Xiong in the formula; urgently administer Ren Shen to prevent Qi collapse.
Postpartum Blood confusion leads to Blood Vertigo (Xue Yun); excessive lochia discharge causes mental fatigue.
Ze Lan (Lycopi Herba), Chuan Xiong, Dang Gui, Jing Jie, Ren Shen, and Gan Cao form Qing Hun San (Soul-Clearing Powder) to settle vertigo.
Hei Shen San removes Chuan Xiong, adds Gui Zhi and Gan Jiang; Zhi Gan Cao, Hei Dou (Sojae Semen Nigrum), and Pu Huang (Typhae Pollen) are stir-fried.
After lochia clears, chest and abdominal fullness are removed; taken with wine, the effect is extraordinary.
Why is postpartum lochia so scant? If there are no other symptoms and spirit is good,
Suddenly experiencing chills, fever, and abdominal pain shows that Hei Shen San is truly wonderful.
Postpartum convulsions occur because Blood does not arrive; abdominal pain, fever, and distension are unbearable.
Chai Hu, Fo Shou San, Ling Zhi (Trogopterori Faeces), Ze Lan, Qiang Huo, and Hong Hua must be carefully arranged.
Postpartum requires Si Wu Tang; for first-time mothers, pair with Jiao Jiang.
Using Shao Yao initially after birth damages generating Qi; Ni Ge (greasy chest) especially dislikes Shu Di Huang.
For slippery intestines, Di Huang and Dang Gui should be avoided; for profuse sweating, remove Chuan Xiong.
For Blood deficiency abdominal pain, Chi Shao is good; modified Si Wu Tang is a secret of sages.
Shi Quan Ji Yin Wan: Dang Gui Shen (wine-washed), Shu Di Huang, Xiang Fu (wine-boiled 4 liang), Shan Yao (Dioscoreae Rhizoma), Bai Zhu (2.5 liang), Qi Zi (Lycii Fructus), Ren Shen (2 liang), Qi Ai Ye (Artemisiae Argyi Folium) (2 liang, remove veins/stems, boil with Xiang Fu in wine/vinegar for one shichen, pound, bake), Chuan Xiong, Bai Shao (Paeoniae Radix Alba), Dan Pi (Moutan Cortex), Zi Shi Ying (calcined, each 1.5 liang), Ze Lan (1 liang), Zi He Che (Placenta Human) (one piece, pierced with silver needle, remove purple veins, wash white with wine).
Slice the above herbs, place with Placenta in a clay pot. Add 3 bowls of aged wine, 1 bowl of aged rice vinegar, 1 bowl of clear child's urine, and several bowls of rice water. Mix evenly so herbs float about one cun deep. Cover tightly to prevent air leakage. Slowly cook over mulberry wood fire until the Placenta melts and juice dries. Remove, pound extremely fine, shape into cakes. Sun-dry and moon-expose for three days and nights, ideally during the full moon to absorb solar and lunar essences. Bake dry, grind to powder, mix with honey to make pills the size of wu zi (wuze tree seeds). Take 50 pills on an empty stomach with light salt water, followed by breakfast to guide the medicine downward. Avoid raw radish.
Whenever menstruation is overdue, or scanty or absent, it is due to Cold-Heat and Scanty Blood. The Chi pulse must be weak and faint; add Gui Xin (Cinnamomi Cortex) 5 qian (3 qian in summer), Huang Qi 1 liang (roasted). If early, it is Heat-Blood. The pulse must be rapid; add Tiao Qin (Scutellariae Radix) 2 liang (wine-fried), Sheng Di Huang (Rehmanniae Radix) 1.5 liang (wine-fried). For abdominal pain, add Shao Yao 1 liang (wine-fried). Pain before onset indicates Blood Excess and Qi Stagnation; clots indicate Qi Congestion. Pulse wiry, rapid, slippery, and large: add Yan Hu 1 liang (wine-fried), Chen Pi 8 fen, Mu Xiang (Aucklandiae Radix), Chai Hu Shao (Bupleuri Radix Tip) 5 qian. Pain after onset indicates Qi and Blood Deficiency; Chi pulse must be deficient, choppy, and tight; add Hei Jiang (Carbonized Ginger) 3 qian, Bai Fu Ling (Poria) 1 liang, Gui Xin 5 qian (3 qian in summer). Five to seven days later, continuous dull abdominal pain or dripping discharge indicates Blood Stagnation due to Qi obstruction not yet cleared. Chi pulse sinking and choppy, or sinking and wiry: add Mu Xiang 5 qian, Chai Hu 6 qian. Purple or black color indicates severe Blood Heat. Chi pulse surging and rapid: add Tiao Qin and Huang Bo each 1 liang, Chao Sheng Di Huang 1.5 liang (wine-soaked). Overdue with pale color: obese people have Damp-Phlegm, add Fu Ling, Cang Zhu (Coix Seed Water/Light Salt Water fried), Chen Pi each 1 liang, Bai Zhu 5 qian, reduce Shu Di Huang by 1 liang. Thin people have Blood Deficiency mixed with Water, add Gui Xin 5 qian. Intermittent flow or chills/fever: add Chai Hu 8 qian, Bai Fu Ling 1 liang. For irregular menstruation with excessive leukorrhea: obese people primarily due to Stomach Damp-Phlegm flowing down, add Zhi Cang Zhu, Bai Fu Ling 1.5 liang, reduce Shu Di Huang by 1 liang. Thin people have abundant Qi and scanty Blood, Spleen Deficiency, add Mu Xiang 5 qian, Mu Li (calcined), Chi Shi Zhi (Kaolinitum) (calcined), Bai Fu Ling each 1 liang.
For frequent metrorrhagia and metrostaxis: reduce Xiang Fu and Ai Ye each by 1 liang, add Jing Jie Sui (Schizonepetae Spica) (fried) 1 liang, Huang Qin 1.5 liang.
For Blood Beng (profuse bleeding): if volume is large, add E Jiao 1 liang, Hei Jiang 5 qian, Huang Qi 1 liang (roasted).
For Yuan Qi weakness and amenorrhea: add Niu Xi 2 liang. If Cold, add Gui Xin 5 qian;
If Heat, add Huang Qin 1 liang (wine-fried).
For maidservants or concubines often disliked by the principal wife,必定 having much depression leading to irregular menstruation: add Zhi Fang Xiang Fu (Processed Cyperi Rhizoma) 2 liang. Or if Blood weak and Heart deficient, experiencing fear and restlessness during intercourse causing Essence-Qi dispersion: add Hu Po (Amber) (separately ground), Zao Ren (Sand-roasted lightly), Fu Shen each 1 liang, Chen Sha (Cinnabaris) (prepared), Zi Shi Ying each 5 qian. This formula treats infertility for ten years.
Regulating Menstruation Formula taken near the time of menses for three doses: Wu Yao, Fu Zi, Shao Yao, Chuan Xiong, Dang Gui, Tao Ren, Suo (likely Gan Cao error), Gui Zhi, Xiao Hui.
Dang Gui (3 qian), Fu Xiong (Ligusticum), Hong Hua (wine-fried), Xiao Hui (Illicium Verum), Xiang Fu (wine-washed, fried), Chi Shao (each 1 qian), Wu Yao (1 qian), Yan Hu (2 qian vinegar-fried), Tao Ren (skin/kernel removed, 4 qian), Chi Gui (Cinnamomum Cassia Bark) (5 fen wine-fried), Jiang (3 slices), Deng Xin (Junci Medulla) (10 roots).
Take before menstruation.
Formula after menstruation: Si Wu Tang plus Du Zhong, Xu Duan, Fu Ling, Shi Hu, Sha Ren, Jiang.
Dang Gui (1 qian), Shu Di Huang (1 qian), Shao Yao (2 qian wine-fried), Du Zhong (2 qian), Fu Ling (1 qian), Shi Hu (Dendrobii Caulis) (1 qian), Chuan Xiong (1 qian), Chuan Duan (Dipsaci Radix) (1.5 qian), Sha Ren (5 fen), Wei Jiang (Baked Ginger) (large slice), Zao (Jujubae Fructus) (3 pieces).
Take when half-hungry and half-full.
Pill Formula: Di Huang, Dang Gui, Du Zhong, Xu Duan, Fu Ling, Shi Hu, Gu Zhi (Psoraleae Fructus), Tu Si Zi (Cuscutae Semen), He Che, Rou Cong Rong (Cynomorii Herba).
Shu Di Huang, Dang Gui, Du Zhong, Chuan Duan, Gu Zhi, Tu Si Zi (each 4 liang), Rou Cong Rong (2 liang), Fu Ling (2 liang), Shi Hu (3 liang), He Che (one piece).